# ESTHER PARK, D.O., LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Psychiatry, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104002096
- **Authorized official:** MR. PAUL KIM (OFFICE MANAGER)
- **Authorized official phone:** (949) 258-3741

## Contact information

- **Practice address:** 1101 DOVE ST, SUITE 130, NEWPORT BEACH, CA 92660-2844
- **Practice address phone:** (949) 258-3741
- **Practice address fax:** (949) 258-3742
- **Mailing address:** 1101 DOVE ST, SUITE 130, NEWPORT BEACH, CA 92660-2844
- **Mailing address phone:** (949) 258-3741
- **Mailing address fax:** (949) 258-3742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 20A7734 | CA | Yes |

## Other

- **Enumeration date:** 01/10/2008
- **Last updated:** 01/03/2012